Running Title: Pregnancy in women with congenital heart diseaseAbstractWith advances
that have been made over the recent decadesin transcatheter and surgical interventions, most patients with congenital heart disease (CHD) can survive into adulthood.

Overall, probably half of
these surviving patients are female. When these female
CHD patients reach childbearing age,
however, pregnancy management will be a major issue.

In order to meet the demands of fetal growth, the maternal cardiovascular system starts a series of adaptations
beginning in early pregnancy.